Onychophagia and onychotillomania can be effectively managed

Magid, Michelle; Mennella, Constance; Kuhn, Helena; Stamu‐O'Brien, Caroline; Kroumpouzos, George

doi:10.1016/j.jaad.2017.06.154

Cited by 26 publications

(29 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Onychophagia was rare in children under the age of three, and its incidence decreased at puberty. 7,8 There was a predominance of males (73.6%) in our study, which is different from previous studies. 9,10 The most common chief complaints during patient visits were nail deformities, followed by decreased or no nail growth and periungual complications.…”

Section: Discussioncontrasting

confidence: 99%

Onychophagia: detailed clinical characteristics

et al. 2021

View full text Add to dashboard Cite

Background Onychophagia is a common disorder affecting 20% to 30% of the general population. It is defined as habitual nail biting and can cause various changes in the nail units. However, to date, there has been a paucity of data focusing on nail deformities related to onychophagia. This study was performed to investigate the clinical characteristics of onychophagia in Korea.Methods This study included 53 patients with onychophagia who visited the Pusan National University Hospital (Busan and Yangsan) over a 10-year period (2011-2020). We retrospectively reviewed medical records and clinical and dermoscopic photographs.Results All 10 fingernails were affected in 37.7% of the patients. The left thumbnail was the most predominantly affected site (81.1%). Clinical findings showed that short nails with ragged distal borders were the most common presentation (100.0%), followed by generalized or patchy rough areas (50.9%), linear and pinpoint hemorrhage (32.1%), longitudinal melanonychia (30.2%), transverse groove (28.3%), brittleness (28.3%), macrolunula (24.5%), washboard nail (13.2%), and pterygium (3.8%). Of the patients, 88.7% had periungual complications, such as periungual exfoliation (77.4%), absent or ragged cuticle (52.8%), hyponychial hyperkeratosis (37.7%), and paronychia (15.1%).Conclusions Although onychophagia is a common disorder, its clinical characteristics have not been reported in the literature. The results of this study may be helpful in managing patients with onychophagia.December 2020 were included. All patients were at the outpatient clinic during their initial visits at Pusan National University Hospital (Busan and Yangsan) in Korea.

show abstract

Section: Discussioncontrasting

confidence: 99%

Onychophagia: detailed clinical characteristics

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Despite the scarcity of data regarding the efficacy of treatment strategies, unpleasant-flavored topical agents and nail lacquers, physical barrier methods, cognitive-behavioral therapy, and psychopharmacological interventions have shown varying, yet encouraging therapeutic benefits [1,2,10,11]. One of the most commonly used practice is occlusion of the nails from trauma by placing a barrier between the mouth and fingers, e.g., occlusive dressings such as gloves, Unna boot, bandages, and wrappings with adhesive tape [3,5,10].…”

Section: Discussionmentioning

confidence: 99%

Onychotillomania: A Chameleon-Like Disorder: Case Report and Review of Literature

Sidiropoulou

Sgouros

Θεοδωρόπουλος

et al. 2018

Skin Appendage Disord

View full text Add to dashboard Cite

Onychotillomania, or nail-picking disorder, is an uncommon and misdiagnosed behavioral pattern focused on the nail apparatus. It is demarcated by the compulsive or irresistible urge in patients to constantly injure their own nails, with the fingers or tools, inflicting noticeable or even irreversible self-destruction of the nail unit. Despite its rarity, this self-injurious coercion often poses a diagnostic and therapeutic challenge. Not only do many patients deny nail manipulation, but also the disorder has long been recognized to present itself with a wide range of clinical features, which hampers early and indisputable diagnosis. Furthermore, onychotillomania constitutes a persistent and hardly manageable problem, mostly because of its psychocutaneous nature as well as its high propensity to coexist with underlying neuropsychiatric illnesses or other behavioral disorders. However, the medical literature concerning obsessive nail picking still remains relatively scarce. Herein, we present an extraordinary, yet very intriguing case of a Caucasian patient with onychotillomania and onychophagia coexistence masquerading a weird inflammation-like lesion.

show abstract

“…[1] Bir olguda N-asetilsistein 1200-2400 mg/gün ile remisyon sağlanmış olup alternatif farmakoterapilerin en üstünüdür. [19] Onikofaji emosyonel değil öğrenilmiş bir alışkanlık olup ebeveynin ceza ve tehdidiyle tırnak yemede artma görülmüştür. Çevresel ipuçlarını ve tetikleyicileri azaltmak, eldiven, bandaj, sakız çiğneme, acı cila, manikür alternatif yardımcılardır.…”

Section: Tedaviunclassified

A neglected issue 'Onicophagia': Diagnosis and treatment approaches

Gül¹

2021

bogazicitip

View full text Add to dashboard Cite

Onychophagia is a common and compulsive habit that begins in childhood, which is observed in 20-30% of the general population. It is a stereotypic behavioral disorder related to the body and is likely to be evaluated in the OCD spectrum. It is not an isolated symptom and requires a chronic process with pharmacological treatment and cognitive behavioral therapies in a wide psychosocial perspective by investigating accompanying psychiatric disorders and stereotypical behaviors. In this review, literature information about onychophagia is reviewed.

show abstract

Onychophagia and onychotillomania can be effectively managed

Cited by 26 publications

References 5 publications

Onychophagia: detailed clinical characteristics

Onychophagia: detailed clinical characteristics

Onychotillomania: A Chameleon-Like Disorder: Case Report and Review of Literature

A neglected issue 'Onicophagia': Diagnosis and treatment approaches

Contact Info

Product

Resources

About